1.Characteristics of populations exposed to rabies in Anji County
WU Xue ; ZHENG Lihao ; KAN Xuwei ; SUN Jimin
Journal of Preventive Medicine 2023;35(4):327-330
Objective:
To investigate the epidemiological characteristics of rabies-exposed populations in Anji County, Zhejiang Province from 2017 to 2021, so as to provide insights into rabies control in the county.
Methods:
All data pertaining to rabies were captured from Monthly Report of Rabies-exposed Populations in Huzhou City and Investigation Form of Multiple Dog Injuries reported by dog injury clinics in Anji County from 2017 to 2021, and the species of animals causing dog injuries, duration, degree and site of exposure, and post-exposure treatment of rabies-exposed populations were descriptively analyzed.
Results:
Totally 46 186 cases with rabies exposure were reported in dog injury clinics in Anji County from 2017 to 2021, and the rate of exposure appeared a tendency towards a decline year by year (Z=-23.249, P<0.001), with an annual mean exposure rate of 1 739.59/105. The number of cases with exposure to rabies peaked in July and August (10 066 cases, 21.79%). Dogs were predominant animals causing injuries (31 732 cases, 68.70%), and the rate of exposure to dog bites appeared a tendency towards a decline year by year (Z=-35.541, P<0.001). There were 11 350 cases with cat-causing injuries (24.57%), and the rate of exposure to cat bites appeared a tendency towards a rise (Z=14.834, P<0.001). Lower extremity was the main site of exposure (22 364 cases, 48.42%), and the proportions of grade Ⅱ and Ⅲ exposure to rabies were 72.85% and 25.23%, the rates of exposure both appeared a tendency towards a decline (Z=-14.522, P<0.001; Z=-21.820, P<0.001). The proportion of using human rabies immune globulin was 25.72% among populations with grade Ⅲ exposure, which appeared a tendency towards a rise (Z=6.636, P<0.001).
Conclusions
The rate of exposure to rabies appeared a tendency towards a decline in Anji County from 2017 to 2021. Dogs were predominant animals causing injuries, and the rate of cat bites appeared a tendency towards a rise from 2017 to 2021; however, the proportion of using human rabies immune globulin remains to be improved among populations with grade Ⅲ exposure.
2.Development of automatic temperature and thermal current detection system for physiological protection equipment of the aviator
Qiong WANG ; Junqin LI ; Zhaosheng REN ; Wei LI ; Liyong SHI ; Lihao XUE ; Yanghua OU
Chinese Medical Equipment Journal 1989;0(02):-
The apparatus introduced in this paper can be used to measure and record the realtime environmental parameters and such physical information of individual protection equipment as the temperature,thermal current and thermal insulating value.The apparatus has several advantages including high accuracy,practicability,reliability and easy to operate.
3.Compound effects of inhaling pure oxygen and lifting height on ear baric function in a hypobaric chamber
Dongqing WEN ; Xuewen ZHENG ; Guiyou WANG ; Xiaopeng LIU ; Weiru SHI ; Lihua YU ; Zhao GU ; Jianbing WU ; Lihao XUE ; Jie WANG
Medical Journal of Chinese People's Liberation Army 2017;42(1):70-75
Objective To compare the ear baric function between 4000m altitude chamber test with inhaling air and 6900m altitude chamber test with inhaling pure oxygen.Methods Eleven healthy male volunteers attended two tests as two groups by self-comparison. As the air group the volunteers inhaled air at 4000m, while as the pure oxygen group they inhaled pure oxygen at 6900m altitude, and the time interval between the two tests was more than two weeks. During the test, the volunteers breathed air or pure oxygen at random for 1h, and then were exposed at a speed of 20m/s to the target altitude for 5min. Hereafter they were sent back to the ground at the same speed. The changes of subjective symptoms, degree of tympanic congestion, acoustic immitance index and pure-tone auditory threshold were recorded before and after the test. The acoustic impedance index and pure-tone threshold were statistically analyzed.ResultsFour volunteers (4 ears) in air group and 7 volunteers (7 ears) in pure oxygen group reported ear pain in altitude chamber exposures, respectively. The pain-triggering altitude was higher in the pure oxygen group. Immediately after tests, there were 3 (3 ears) and 5 volunteers (5 ears) with Ⅲ degree congestion of the tympanic membrane in the two groups respectively. Four volunteers (6 ears) developed gradually aggravated hemorrhages after altitude exposure. And the tympanic membrane congestion difference between groups was statistically significant at 3 and 24h after tests (P<0.01). The type A tympanogram appeared in 11 (15 ears) and 11 (14 ears) volunteers respectively immediately after tests. The increase of static compliance value was significantly greater in pure oxygen group than in air group immediately after tests (P<0.05), the decrease of middle ear pressure was more significant in pure oxygen group than in air group at 3 and 24h after tests (P<0.05). Both the two altitude exposure tests resulted in eustachian tube dysfunction. At 3 and 24h after the tests, the increase of individual frequency pure-tone threshold was significantly higher in pure oxygen group than in air group (P<0.05).Conclusion Breathing pure oxygen and lifting height could increase the screening degree of ear baric function test in hypobaric chamber, and have greater influence on degree of tympanic congestion, acoustic immittance and pure-tone auditory threshold in 24 hours.
4.Evaluation of operation ergonomics at high-temperature in the cockpit.
Yinsheng TIAN ; Jing LI ; Li DING ; Qiong WANG ; Zhaosheng REN ; Liyong SHI ; Lihao XUE
Journal of Biomedical Engineering 2011;28(4):702-707
10 male subjects participated in the environmental simulation study to evaluate the operation ergonomics at high-temperature in the cockpit. Grip strength, perception, dexterity, reaction and intelligence were measured respectively during the tests at 40 degrees C and 45 degrees C, simulating the high-temperatures in a simulation cockpit chamber. Then the data obtained were compared to the combined index of heat stress (CIHS). The average values of each item of the subjects' performance at the two different temperatures are compared. The results indicated that CIHS exceeded the heat stress safety line after 45 min at 40 degrees C, grip strength decreased by 12%, and perception increased by 2.89 times. In contrast, at 45 degrees C, CIHS exceeded the safety line after 20 min, grip strength decreased by 3.2%, and perception increased by 4.36 times. However, Finger dexterity was less affected. Reaction ability was first accelerated, and then slowed down. The error rate in the intelligence test increased to a greater extent. At the high temperatures, the minimum perception was the most affected, followed by grip strength, reaction and finger dexterity were less affected, while the intelligence did not decline, but rise.
Adult
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Aerospace Medicine
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Aircraft
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Computer Simulation
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Ergonomics
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Heat Stress Disorders
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physiopathology
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Hot Temperature
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adverse effects
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Humans
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Male
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Young Adult
5.Progress in evaluation criteria of non-operative treatment for hepatocellular carcinoma
Lihao WANG ; Shichao LUO ; Fei XUE
Chinese Journal of Hepatobiliary Surgery 2023;29(9):707-711
Non-surgical treatment programs play an essential position among hepatocellular carcinoma therapies. Precise evaluation of treatment efficacy has significant value in determination of non-surgical treatment programs for hepatocellular carcinoma. As the treatment methodologies and philosophy progress, the evaluation standards for the efficacy of non-surgical treatment of hepatocellular carcinoma are constantly updated and developed. This paper generalizes the development process of the evaluation criteria for the efficacy of non-surgical treatment of hepatocellular carcinoma, summarizes the evaluation criteria that have been and are currently applied in the clinical field in general, in order to provide a basis for patients to obtain timely and effective evaluation and treatment, and gives an outlook on the future development of the evaluation standards.